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1043581721
SUSAN ERICKSON
MISSOULA, MT
NPI
1043581721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MT 833)
Enumeration Date
2012-01-26
Last Update Date
2012-01-26
Business Address
-- SUSAN ERICKSON
4718 23RD AVE SUITE 500
MISSOULA, MT 59803-1163
Phone number: 406-626-0400
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Mailing Address
-- SUSAN ERICKSON
415 S 48TH ST W
BILLINGS, MT 59106-2955
Phone number:
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